<p> Send completed form with payment to: Hilltop Speedway 10313 Back Orrville Rd Orrville, OH 44667</p><p>*Car Registration $100 before March 1 st and $200 after March 1 st (includes driver registration and driver/owner pass) OR *Driver Registration-$25 (does NOT include driver/owner pass) DRIVER INFO Name:______Address:______City:______State:______Zip:______Home Phone:______Email Address:______Social Security Number or Tax ID:______</p><p>CAR INFO Division:______Number:______Chassis:______Engine Builder:______Color:______Sponsors:______</p><p>OWNER INFO (if different than driver) Name:______Address:______City:______State:______Zip:______Home Phone Number:______Email Address:______Social Security Number or Tax ID:______</p><p>Please make sure ALL info is correct and form is filled out completely. Driver Conduct Sheet</p><p>Failure to furnish a social security number, or providing a false social security number, will result in a $500 fine to the participant and possible legal action by IRS. </p><p>Any driver, owner, pit crew, or anyone associated with a car that enters the scoring tower or flag stand will lose pay for the evening, be fined $100, and have a two (2) week suspension. THIS WILL BE STRICTLY ENFORCED! No one is to approach the flag stand or scoring tower at any time for any rea- son unless told to do so by track official. </p><p>Any un-sportsmanlike conduct by a driver, owner, or pit crewmember shall be grounds for disqualifi- cation and/or punitive action. DRIVERS ARE RESPONSIBLE FOR THE CONDUCT AND ACTIONS OF THEIR CREW MEMBERS. Consequences for unsportsmanlike conduct may be but are not limited to suspension, no pay, no points, and legal action. </p><p>Any physical contact with any track staff or official at Hilltop Speedway will result in immediate expul- sion from the track and other disciplinary actions pending an investigation up to and including permanent suspension at the track and legal action. Entering into other people’s pits for confrontation purposes is strictly prohibited. If confrontation in another person’s pit area leads to a physical altercation, the person entering another person’s pit area in anger with intent to confront will be disciplined.</p><p>Hilltop Speedway reserves the right to change or alter these rules at any time. Hilltop Speedway's deci- sions are final! </p><p>I have read and understand the rules of conduct at Hilltop Speedway.</p><p>______</p><p>Name Date</p>